A 12-month-old boy presents to you after his mother reported that both her and her child had fallen down the stair well. You note swelling and bruising around the left arm. The child does not appear to be using the left arm. The child is in notable pain when you try to move his left arm. You note no other areas of wounds. X-ray of the extremity shows a humeral fracture. No other signs of new or old fractures are appreciated.
What would you recommend for preventing such an injury?
- The caregiver should carry the child while keeping one hand always on a railing.
- The caretaker should let the child go down the stairs on her own.
- Nothing; there was no intervention that could have prevented this from occurring.
- Engage child protection services with concern for child abuse.
This question appears in Med-Challenger Pediatric Nurse Practitioner Exam Review with CNE/CE
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